Organization
82ND CORNER LLC
Active
Other names
Invictus Pharmacy, Park West Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEYER DAVIDOFF PHARMD, RPH (SENIOR DIRECTOR)
(212) 380-6866
Entity
Organization
Contact information
Practice address
461 COLUMBUS AVE, NEW YORK, NY 10024-5107
(212) 721-3883
(212) 721-5660
Mailing address
49 E PASSAIC ST, ROCHELLE PARK, NJ 07662-3305
(201) 880-7000
(201) 880-7094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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